scholarly journals The Persian Brief Illness Perception Questionnaire: Validation in Patients with Chronic Nonspecific Low Back Pain

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Sarvenaz Karimi-Ghasemabad ◽  
Behnam Akhbari ◽  
Ahmad Saeedi ◽  
Saeed Talebian Moghaddam ◽  
Noureddin Nakhostin Ansari

Background. Illness perceptions may influence coping behaviors as well as treatment and recovery among patients with chronic pain including low back pain (LBP). These perceptions may vary across different conditions. The Brief Illness Perception Questionnaire (BIPQ) is used as an instrument to assess the patients’ perception of illness. Although the BIPQ has been previously translated into Persian, its psychometric properties have not been evaluated among patients with chronic nonspecific LBP. The aim of this study was to determine the reliability and validity of the Persian BIPQ in patients with chronic nonspecific LBP. Methods. 116 patients with chronic nonspecific LBP with a mean (standard deviation) age of 36.4 years (10.7) participated in this cross-sectional study. Fifty patients were reexamined after 10 to 12 days for test-retest reliability. Internal consistency reliability, construct validity, concurrent criterion validity, and structural validity were evaluated. The concurrent validity was examined by using the Short Form-36 Health Survey. Results. There were no floor and ceiling effects. Cronbach’s alpha for the total score was 0.90. The intraclass correlation coefficient (ICC) for test-retest reliability was 0.90. The standard error of measurement and the minimal detectable change was found to be 3.26 and 9.04, respectively. The convergent correlations confirmed the construct validity. The concurrent criterion validity was demonstrated by significant negative correlations with the SF-36. The Exploratory Factor Analysis produced the 2 factors (emotional illness representations and cognitive illness representations) with an eigenvalue >1.0 that jointly accounted for 58.86% of the total variance. Conclusion. The Persian BIPQ is a reliable and 2-factor instrument and can be used for assessing illness perception in patients with chronic nonspecific LBP.

2020 ◽  
Author(s):  
Sarvenaz Karimi-GhasemAbad ◽  
Behnam Akhbari ◽  
Ahmad Saeedi ◽  
Saeed Talebian Moghaddam ◽  
Noureddin Nakhostin Ansari

Abstract Background: The Brief Illness Perception Questionnaire (BIPQ) is used as an instrument to assess the patients’ perception of illness. Illness perceptions of patients vary across different conditions. The psychometric properties of the Persian version of BIPQ have not been adequately evaluated. The aim of this study was to determine the reliability and validity of the Persian BIPQ in patients with chronic non-specific low back pain (LBP).Methods: In this cross-sectional study, 116 patients with chronic non-specific LBP with a mean (standard deviation) age of 36.4 years (10.7) participated. Fifty patients reexamined after 10-12 days for test-retest reliability. Internal consistency reliability, construct validity, concurrent criterion validity, and structural validity were evaluated. The concurrent validity was examined by using the Short Form -36 Health Survey.Results: There were no floor and ceiling effects. The Cronbach’s alpha for the total score was 0.9. The intraclass correlation coefficient (ICC) for test-retest reliability was 0.9. The standard error of measurement and the minimal detectable change was found 3.26 and 9.04, respectively. The convergent correlations confirmed the construct validity. The concurrent criterion validity was demonstrated by significant negative correlations with the SF-36. The Exploratory Factor Analysis produced the two factors (Emotional illness representations and Cognitive ıllness representations) with an eigenvalue > 1.0 that jointly accounted for 58.86% of the total variance.Conclusions: The Persian BIPQ is a reliable and valid two-factor instrument and can be used for assessing illness perception in patients with chronic non-specific LBP.


2020 ◽  
Author(s):  
Anne Molgaard Nielsen ◽  
Jan Hartvigsen ◽  
Alice Kongsted ◽  
Birigtta Öberg ◽  
Paul Enthoven ◽  
...  

Abstract Background Currently, there are no outcome measures assessing the ability of people with non-specific low back pain to self-manage their illness. Inspired by the ‘Patient Enablement Instrument’, we developed the Patient Enablement Instrument for Back Pain (PEI-BP). The aim of this study was to describe the development of the Patient Enablement Instrument for Back Pain (PEI-BP) and investigate content validity, construct validity, internal consistency, test-retest reliability, measurement error, responsiveness and floor and ceiling effects.Methods The PEI-BP consists of 6 items that are rated on a 0-10 Numeric Rating Scale. Measurement properties were evaluated using the COSMIN taxonomy and were based on three cohorts from primary care with low back pain: The content validity cohort (N=14) which participated in semi-structured interviews, the GLA:D Back cohort (N=272) and the test-retest cohort (N=37) which both completed self-reported questionnaires. For construct validity and responsiveness, enablement was compared to disability (Oswestry Disability Index), back pain beliefs (Brief Illness Perception Questionnaire), fear avoidance (Fear-Avoidance Beliefs Questionnaire – physical activity), mental health (SF-36), educational level and number of previous episodes of low back pain.Results The PEI-BP was found to have acceptable content validity, construct validity, reliability (internal consistency, test-retest reliability and measurement error) and responsiveness. The Smallest Detectable Change was 10.1 points illustrating that a patient would have to change more than 1/6 of the scale range for it to be a true change. A skewed distribution towards the high scores were found at baseline indicating a potentially problematic ceiling effect in the current population.Conclusions The PEI-BP can be considered a valid and reliable tool to measure enablement on people seeking care for non-specific LBP. Further testing of the PEI-BP in populations with more severe LBP is recommended.Trial registration: not applicable


Author(s):  
Sarah Tinitali ◽  
Terry Haines ◽  
Kelly-Ann Bowles

Objective To determine a methodology for the analysis of real-time driving posture data in the low back pain population. Background The strength of the relationship between driving posture and low back pain is yet to be defined due to the lack of studies in the field using validated and repeatable posture measurement tools. Reliable and validated real-time measurement tools are now available, yet reliable methods of analysis of these data are yet to be established. Method Ten occupational drivers completed a typical work shift while wearing an inertial motion sensor system (dorsaVi ViMove). Real-time lumbar flexion data were extracted, with test–retest reliability of mean lumbar flexion, peak lumbar flexion, and standard deviation of lumbar flexion analysed at different times across a work shift, and in different sections within a drive. Results Mean lumbar flexion was highly repeatable over numerous drives in one day, with greater test–retest reliability if the first five minutes of driving data were excluded. Peak lumbar flexion had acceptable test-retest reliability over numerous drives in one day, while standard deviation of lumbar flexion was not a repeatable measure. Conclusion Mean lumbar flexion was a reliable outcome for characterising driving posture in drivers with low back pain. Peak lumbar flexion may be used if appropriate to the individual study. Standard deviation of lumbar flexion is not a reliable posture outcome. Application This paper provides a reliable methodology for analysis of real-time driving posture data in occupational drivers with low back pain.


2018 ◽  
Vol 35 ◽  
pp. 95-104 ◽  
Author(s):  
Mohammad Reza Pourahmadi ◽  
Ismail Ebrahimi Takamjani ◽  
Shapour Jaberzadeh ◽  
Javad Sarrafzadeh ◽  
Mohammad Ali Sanjari ◽  
...  

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